Brooks, Stephen Willard

Brooks, Stephen Willard is an individual health care provider with primary practice located at 6 Main St Bldg B , Hyannis MA 02601-3112. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Brooks, Stephen Willard can be contacted via phone (508) 775-0800.

Contact Information

Primary practice address
6 Main St Bldg B Hyannis MA 02601-3112
Phone: (508) 775-0800
Fax: (508) 771-8565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 72357 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X 72357 Massachusetts
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 72357 Massachusetts

Profile Details

NPI number 1306899638
LBN Legal business name Brooks, Stephen Willard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Dec 4th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306899638 NPPES
Massachusetts Other 0000029456 BMC
Massachusetts Other 3074530 BMC
Massachusetts Other J09482 BMC
Massachusetts MEDICAID 3058956 BMC
Massachusetts Other 760986 BMC
Massachusetts Other 020013142 BMC
Massachusetts Other 8394 BMC
Massachusetts Other B20265301 BMC

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